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This comprehensive review offers an in-depth exploration into the multifaceted world of auricular acupuncture, a unique branch of traditional healing practices focusing on the ear. The paper delves into the historical roots, theoretical underpinnings, and various modalities of auricular acupuncture, providing a thorough examination of its evolution and application. Beginning with an introduction to the fundamental principles of auricular acupuncture, the review highlights its reliance on the auricle of the ear for diagnosis and treatment. It discusses the role of the ear in acupuncture, the anatomical significance of the auricle, and modern theories like the Embryo Containing Information of the Whole Organs (ECIWO). The review also traces the historical emergence of auricular acupuncture, from its origins in ancient Chinese texts to modern adaptations and interpretations. Various schools and methodologies within auricular acupuncture are examined, including those developed by Paul Nogier, Huang Lichun, Guan Zunxin, the Chen-Xu school, Yuchi Jing, and Tian Yifang. These sections provide insights into different techniques, point distributions, and therapeutic approaches. German auricular medicine, the NADA protocol for addiction, and Battlefield Acupuncture for rapid pain relief are also extensively discussed, highlighting their unique contributions to the field. The review then delves into the surface anatomy of the auricle, detailing its complex structure and the distribution of auricular points. This anatomical exploration serves as a foundation for understanding the precise partitioning and mapping of the auricle, which is crucial for effective auricular acupuncture practice. The latter part of the review presents a thorough analysis of randomized controlled clinical trials, systematic reviews, and meta-analyses conducted on auricular acupuncture. These studies cover a range of conditions including addiction, pain management, depression, hypertension, and immune responses. This section not only reinforces the clinical relevance of auricular acupuncture but also underscores the need for continued research and standardization in the field. [ABSTRACT FROM AUTHOR]